Mitchell, Mark Wayne
Mitchell, Mark Wayne is an individual health care provider with primary practice located at 6731 Madison St , New Port Richey FL 34652-1928. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Mitchell, Mark Wayne can be contacted via phone (727) 842-5180.Contact Information
Primary practice address
6731 Madison St
New Port Richey FL 34652-1928
Phone: (727) 842-5180
Fax: (727) 846-0755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN10802 | Florida |
Profile Details
| NPI number | 1386634343 |
|---|---|
| LBN Legal business name | Mitchell, Mark Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Mar 5th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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